Lumbar stabilization is the natural ability of the spinal column to maintain its anatomical structure on physiological loading. The stability is maintained by the interaction between the bony structure with ligaments, the attached muscles, and the nervous system that connects the above two. Natural disc degeneration combined with sedentary behavior can lead to weakness of the muscles, which can then cause segmental instability. Back pain is the largest cause of disability-adjusted living years based on the WHO survey of the global burden of disease. This article reviews the components that contribute to stability, details how the lack of interaction between the various elements can cause abnormal mobility and pain, details the clinical tests required to identify lack of strength and endurance of the lumbar muscles and provides one of the standard methods (motor control exercises) available to increase muscle strength and regain stability.
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- Start Date: 2023-09-01 05:00:00
- End Date: 2023-09-01 05:00:00
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- Specialty: Adolescent Medicine, All Practice Areas (e.g. ethics), General Orthopaedics, General Pediatrics, General Surgery, Internal Medicine, Orthopaedic Sports Medicine, Pain Medicine, Pediatric Orthopaedic Surgery, Pediatric Rheumatology, Rheumatology, Sports Medicine, Surgery of the Spine